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NPI Code Detail

MEDICARE: RYDER MEMORIAL HOSPITAL INC

MEDICARE: RYDER MEMORIAL HOSPITAL INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0002XClinic Pharmacy
23336L0003XLong Term Care Pharmacy
33336C0003XCommunity/Retail Pharmacy07F0947PR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12082984OTHERPK

General Provider Information

NPI Number : 1770697757
Entity Type Code : Organization
Provider Name (Legal Business Name) : RYDER MEMORIAL HOSPITAL INC
Provider Business Mailing Address
First Line : PO BOX 859
Second Line :
City : HUMACAO
State : PR
Zip : 00792-0859
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 355 AVE FONT MARTELO
Second Line : BOX 859
City : HUMACAO
State : PR
Zip : 00791-3249
Country : US
Telephone Number : 787-852-0768
Fax Number : 787-850-1444
Authorized Official
Title or Position : CEO
Name : JOSE SEPULVEDA
Credential :
Telephone Number : 787-852-0768
Provider Enumeration Date : 08/18/2006
Last Update Date : 11/12/2014

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Directions to “RYDER MEMORIAL HOSPITAL INC ” Practice Location

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